Physician Compare National (NPI:1487644803)

HEALTHCARE PROVIDER: DUANE LESLIE KEITEL M. D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487644803
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547368797
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100820000884
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KEITEL
	Individual professional last name
Provider First Name	DUANE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	ALLERGY/IMMUNOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	ALLERGY PARTNERS PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7113822420
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	124
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	517 CENTRE VIEW BLVD
	Group Practice or individual's line 1 address
City	CRESTVIEW HILLS
	Group Practice or individual's city
State	KY
	Group Practice or individual's state
Zip Code	410173444
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8593415030
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	180035
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ST ELIZABETH EDGEWOOD
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y